The Application of Behavior Change Theory to Family-Based Services: Improving Parent Empowerment in Children’s Mental Health

Olin, S. Serene; Hoagwood, Kimberly; Rodriguez, James; Ramos, Belinda; Burton, Geraldine; Penn, Marlene; Crowe, Maura; Radigan, Marleen; Jensen, Peter S.

doi:10.1007/s10826-009-9317-3

Cited by 89 publications

(87 citation statements)

References 27 publications

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“…These programs were funded as pilot projects to develop peer-led programs that would increase access and activation of parents in mental health services (PEP, Hoagwood et al 2009;Olin et al 2009;Family Associate Program, Koroloff et al 1996) or improve academic performance for children identified with eligible for special education services because of behavioral or emotional needs (Parent Connectors, Kutash et al 2006;K. Kutash, personal communication, 2009).…”

Section: Peer-to-peer (Family-led) Programsmentioning

confidence: 99%

Family Support in Children’s Mental Health: A Review and Synthesis

Hoagwood

Cavaleri

Olin

et al. 2009

Clin Child Fam Psychol Rev

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213

208

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A comprehensive review of structured family support programs in children's mental health was conducted in collaboration with leadership from key national family organizations. The goals were to identify typologies of family support services for which evaluation data existed and identify research gaps. Over 200 programs were examined; 50 met criteria for inclusion. Programs were categorized by whether they were delivered by peer family members, clinicians, or teams. Five salient components of family support were identified: (a) informational, (b) instructional, (c) emotional, (d) instrumental, and (e) advocacy. Clinician-led programs were heavily represented (n = 33, 66%), followed by family-led (n = 11, 22%), and team-delivered (n = 6, 12%) programs. Key differences between programs delivered by clinicians or by peer family members were found in the degree of emphasis, research methodology, and outcomes. However, the content of the components was similar across all three program types. There are both important differences in emphasis across typologies of family support provided by clinicians, family members, or teams as well as important similarities in content. Family-delivered support may be an important adjunct to existing services for parents, although the research base remains thin. A research agenda to promote more rigorous evaluations of these services especially those delivered by peer family members is critical.

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Section: Peer-to-peer (Family-led) Programsmentioning

confidence: 99%

Family Support in Children’s Mental Health: A Review and Synthesis

Hoagwood

Cavaleri

Olin

et al. 2009

Clin Child Fam Psychol Rev

Self Cite

213

208

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“…Having said that, further adjustments might need to be made to MFG programming and to the delivery of the MFG treatment modality to optimize clinical outcomes for families of all stress levels. Additionally, pre/post increases in caregiver motivation to change were reported among low-stress caregivers, which could be associated with shifts in caregiver stress, caregiver depression, and levels of childhood behavioral difficulties and potentially making it easier to overcome barriers to attendance (Olin et al, 2010). However, these associations were not explicitly examined in this study.…”

Section: Discussion and Future Implicationsmentioning

confidence: 84%

Multi-Family Groups for Multi-Stressed Families

Jackson

2014

Research on Social Work Practice

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Purpose: To examine the influence of caregiver stress on attendance among urban families involved in a multiple family group (MFG) intervention, as well as pre/post changes in childhood behavioral difficulties, caregiver stress, caregiver depressive symptoms, caregiver coping by substance use, and caregiver motivation to change. Methods: Univariate analyses assessed pre/ post differences in outcomes between and within stress groups. Post hoc analyses accounted for missing data and the potential influence of regression to the mean. Results: High caregiver stress was associated with lower rates of attendance in MFG over time. Despite attending the fewest sessions, highest stressed caregivers experienced the most pre/post improvement on measures of caregiver stress and childhood behavioral difficulties. Discussion: Involvement in an MFG intervention is associated with high rates of attendance and meaningful improvements in child and caregiver outcomes, with the most distressed families reporting the greatest reduction in both caregiver stress and childhood behavioral difficulties.

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“…Given these findings, various interventions have been created to address these goals [e.g., the Parent Connectors program (Kutash et al 2011), the Parent Empowerment program (Olin et al 2010)]. However, research on how to improve coping and increase empowerment and social support remains in its early stages and the mechanisms for change are not yet known.…”

Section: Satisfaction and Service Utilizationmentioning

confidence: 99%